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County Price & Affordability Audit 3 of 4 Hospitals Priced Pop. 238,014 $71,923 Median Income

Smith County, TX Hospital Rates

Compare hospital price transparency compliance, fair price benchmarks, and local household charity-care eligibility across all 4 mapped hospitals in Smith County.

Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Above Fair Market · Negotiate
1.23×vs. Fair Market Price
Position vs. 1.00× Fair Price+23% Above Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Typical commercial prices here are +23% above the fair benchmark (1.23×) even after accounting for local nurse/doctor wages and patient complexity.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).86/100 · Verified
86/100Hover Any Check Below to See How Prices Were Audited
File Completeness90Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic88Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment86Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing83Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount84Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Smith County Affordability & CoverageSummarizes local hospital price disclosure compliance in Smith County, U.S. Census median household income, local uninsured rate, and federal 200%–400% FPL charity-care income thresholds.3 of 4 Hospitals Priced
Hospitals Priced3 of 4Number of CMS-certified hospitals located inside Smith County that have published machine-readable price files out of all 4 local facilities.
Median Income$71.9k / yrU.S. Census ACS median annual household income in Smith County ($71,923/yr), used to measure medical bill burden and charity-care eligibility.
Uninsured Rate16.7%Percentage of Smith County residents without health insurance who rely on self-pay cash discounts and 501(r) nonprofit hospital financial assistance.

Local charity-care income cutoffs (200%–400% FPL): up to $31,920 (single) and $128,600 (family of 4) qualify for free or discounted hospital care.

County Hospital Pricing & Affordability Audit3 of 4 Local Hospitals Priced

Smith County, TX Hospital Price & Affordability Summary

Smith County, Texas (pop. 238,014) has 4 CMS-certified hospitals (3 publishing verified machine-readable price files) with a local price index of 1.23× the U.S. fair price benchmark and a $71,923 median household income.

County Price Index: 1.23× Fair MarketMedian Income: $71,923/yr
Advantage

Best Value & Patient Protections in Smith County

  • 3 of 4 hospitals in Smith County publish verified 45 CFR § 180 price files (Baylor Scott & White Texas Spine & Joint Hospital, Christus Mother Frances Hospital, UT Health East Texas Tyler Regional Hospital).
  • High-rated local clinical care: Baylor Scott & White Texas Spine & Joint Hospital (5/5 CMS Stars) and The University of Texas Health Science Center at Tyler (4/5 CMS Stars).
  • Under federal 26 U.S.C. § 501(r), nonprofit hospitals must provide discounted Financial Assistance Policy (FAP) rates for Smith County families earning up to $128,600/yr (400% FPL).
Watchout

Where Smith County Patients Get Burned (Billing Watchouts)

  • 1 facility in Smith County (The University of Texas Health Science Center at Tyler) lacks an indexed MRF price schedule — always demand a written Good Faith Estimate before scheduling.
  • With a 16.7% local uninsured rate and $71,923 median household income, an unnegotiated $5,000 hospital bill equals 3.6 weeks of typical Smith County family take-home pay.
  • Emergency department and inpatient ancillary charges vary significantly across Texas counties — inspect each hospital's profile below before paying a full chargemaster bill.
County MRF Price Coverage75% Published
3 of 4 Hospitals

Includes Baylor Scott & White Texas Spine & Joint Hospital & Christus Mother Frances Hospital.

Free Care Income Cutoff (200% FPL)Nonprofit 501(r) Rule
$31,920 – $64,300

Single ($31,920) to Family of 4 ($64,300) threshold for 100% free charity care.

Discounted Care Cutoff (400% FPL)AGB Billing Cap
Up to $128,600/yr

4-person household income cap qualifying for statutory AGB billing limits in Smith County.

Texas County Price & Affordability Heatmap 149 of 254 Counties with MRF Hospital Data

Texas County-Level Hospital Price & Affordability Heatmap

Hospital price index, Medicare markup, and household affordability burden across 254 counties in Texas

<0.94× Affordable 0.94–1.06× Near Avg 1.06–1.20× Elevated >1.20× High-Markup
Harris County28hosps
1.41× Fair
Income $73k
Dallas County24hosps
1.10× Fair
Income $74k
Tarrant County24hosps
1.23× Fair
Income $82k
Collin County17hosps
1.22× Fair
Income $118k
Travis County12hosps
1.10× Fair
Income $97k
Bexar County8hosps
1.04× Fair
Income $71k
Montgomery County8hosps
1.45× Fair
Income $97k
Denton County7hosps
1.08× Fair
Income $108k
Fort Bend County7hosps
1.37× Fair
Income $113k
Williamson County7hosps
1.75× Fair
Income $108k
Hidalgo County6hosps
1.08× Fair
Income $52k
Lubbock County5hosps
1.76× Fair
Income $63k
El Paso County3hosps
0.95× Fair
Income $59k
Cameron County3hosps
1.04× Fair
Income $51k
Hays County3hosps
1.04× Fair
Income $86k
Ellis County3hosps
1.08× Fair
Income $96k
Jefferson County3hosps
1.10× Fair
Income $60k
Wichita County3hosps
1.18× Fair
Income $62k
Smith County3hosps
1.23× Fair
Income $72k
Grayson County3hosps
1.80× Fair
Income $70k
Potter County3hosps
2.79× Fair
Income $50k
Cooke County2hosps
0.92× Fair
Income $72k
Pecos County2hosps
1.01× Fair
Income $68k
Webb County2hosps
1.02× Fair
Income $63k
Showing top 24 counties with hospital price filings of 254 total in Texas

All Hospitals in Smith County (4)

Select any published hospital below to inspect its procedure price list, insurer discounts, and official MRF verification links.

MRF Compliance: 3 of 4 Published

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